Organization Active NPI

Praxis CPS

  • Speech-Language Pathologist
  • San Lorenzo, PR
National Provider Identifier
1972996478
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
887 Issued in PR
Legal business name
PRAXIS CPS
Practice address
3B Calle Abanico
Urb Aponte
San Lorenzo, PR 00754
Phone
(787) 202-4611
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Angelica De Jesus, MS/SLP
Title
Owner
Phone
(787) 202-4611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 887 PR Primary

Addresses

Primary practice location

3B Calle Abanico
Urb Aponte
San Lorenzo, PR 00754

Mailing address

PO Box 11998
Cidra, PR 00739-1998
Phone (787) 202-4611

Other identifiers 1

IdentifierTypeStateIssuer
1487982781OtherPRSPEECH LANGUAGE PATHOLIGIST

National Provider Directory

National Provider Directory

Locations

3 Calle Abanico
#B
San Lorenzo, PR 00754
Phone (787) 202-4611

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1972996478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11998",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391998",
            "telephone_number": "787-202-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3B CALLE ABANICO",
            "address_2": "URB APONTE",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-202-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAXIS CPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-202-4611",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLIGIST",
            "identifier": "1487982781",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.